Individual
BRIELLE A LOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 WEST CONAN ST., DULUTH CLINIC-ELY, ELY, MN 56636
(218) 365-7900
Mailing address
300 W CONAN STREET, ESSENTIA HEALTH ELY CLINIC, ELY, MN 55731-1145
(218) 365-7900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48683
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-25352
MEDICA
MN
01
—
153H3LO
BCBSMN
MN
05
—
464132000
—
MN
01
—
P00440552
RR MEDICARE PTAN
—
Enumeration date
07/28/2006
Last updated
01/22/2018
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